Care for the child with central nervous system tumors.
Explore the source record for details and available documents.
Brain Neoplasms↗
Biomedical subjects
T Shiminski-Maher
Publications and source records attributed to T Shiminski-Maher.
Brain tumors in childhood: implications for nursing practice.
Pediatric brain tumors are the most common solid tumor and the second most common neoplasm in childhood. Confirmation of diagnosis includes visualization of the tumor on a computed tomographic or magnetic resonance imaging scan. Treatment includes surgical resection or biopsy for confirmation of tissue diagnosis, with observation, radiation, and/or chemotherapy, depending on the tumor's pathology. The care of the child with a brain tumor involves a large multidisciplinary health care team. Nurses and nurse practitioners/clinicians are consistent members of the team that cares for the child and family throughout the course of the illness. Their intervention as advocates and educators in a liasion role between the patient/family and various members of the medical team is critical for the patient and family throughout the course of the illness.
Brain Neoplasms↗
Intrinsic tumors of the medulla: surgical complications.
Intrinsic focal tumor of the medulla oblongata is an uncommon entity. Of the 51 cases presenting for treatment of a brainstem glioma between 1984 and 1990, only 7 were confined to the medulla. Radical excision was performed on each patient. Four of the first 5 patients who were extubated in the recovery room had CO2 retention, with associated respiratory arrest and hypoxia. Three suffered permanent cranial nerve deficits as a result. It is the purpose of this report to describe the serious complications of medullary surgery and to make recommendations as to how they may be avoided.
Adolescent↗
Physician-patient-parent communication problems.
The physician-patient relationship has been addressed frequently in the literature. It is well documented that a positive physician-patient relationship is influential in clinical outcome. This concept is even more complex in pediatrics (and pediatric neurosurgery) where the physician must 'relate' or 'communicate' with the entire family. Complications in physician-parent-child communication occur for a variety of reasons. Most commonly, they occur as a result of lack of communication, miscommunication and/or information overload. The intent of this paper is to discuss the pediatric neurosurgeon-parent-child communication complications and to identify strategies for their prevention.
Adolescent↗